Lab Studies:
ESR 33 mm/h
<br>CRP 3.5 mg/dL
<br>HLA-B27: Positive
<br>WBC: 7.9
<br>Hgb: 15.1
Other Studies:
X-rays of the cervical spine: Very mild degenerative changes of the mid to lower cervical spine; otherwise normal films. <a href="CaseStudyImages/CS1WhenDiarrheaBecom-825.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> <a href="CaseStudyImages/CS2CS1WhenDiarrheaBe-825.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> .
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<br>X-rays of the left hip: Moderate joint space narrowing of the left hip joint.
<br>No other obvious acute osseous abnormality. <a href="CaseStudyImages/CS3CS2CS1WhenDiarrhe-825.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a>
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<br>MRI C Spine w/o Contrast: Multilevel degenerative disc disease of the cervical spine with severe right neural foraminal narrowing at C4-5 and C5-6. Moderate left neural foraminal narrowing at C4-5. Nosignificant spinal canal narrowing.
Consultations:
The patient was referred to Physical Medicine and Rehabilitation for evaluation for therapeutic cervical facet joint injections
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